Lumbar Epidural Steroid For successful Pain Management of Metastatic Compressive Neuropathy with severe Dyspnea.

Dr. Minhas Ashish; Dr Singh Ripudaman; Dr Gupta Bharti

Volume : IX, Issue : VI, June - 2020

Lumbar Epidural Steroid For successful Pain Management of Metastatic Compressive Neuropathy with severe Dyspnea.

Dr. Minhas Ashish, Dr Singh Ripudaman, Dr Gupta Bharti

Abstract :

Symptomatic lumbar spine metastasis occurs in 27% of prostate cancer patients with pain being the initial presentation with a high propensity to metastasize to bone and spine. 68 years old patient of carcinoma prostate with compression neuropathy due to metastasis at L4 verteal body, presented with subacute onset of low back pain with bilateral radiculopathy and inability to walk (grade 3/5 motor power) and dyspnea grade 4 because of COPD. The patient had inadequate pain relief while on combination of oral tramadol and paracetamol. Lumbar epidural steroid was given at L2–3 interverteal space. After 4 weeks the patient came walking with improvement in pain as well as dyspnea. Epidural steroid injection can be effective in patients with malignant compressive neuropathy pain when other conventional modalities provide inadequate analgesia.